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Haemodynamic stresses and the onset and progression of vasculardiseases

Published online by Cambridge University Press:  29 November 2010

JUAN C. LASHERAS*
Affiliation:
Departments of Mechanical and Aerospace Engineering and Bioengineering, University of California San Diego, La Jolla, CA 92093-0411, USA
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Abstract

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Abdominal aortic aneurysm (AAA), a common vascular disease among the adultpopulation, forms in the portion of the aorta below the renal arteries andupstream of its bifurcation into the two iliac arteries. While the precise causeof this vascular disease is still unknown, it is believed to be multi-factorialand predominantly degenerative, arising through a complex interplay amongseveral biological factors as well as from specific local changes in thehaemodynamic stresses on the vessel's wall. Using a simple mechanical model tosimulate the difference in the stiffness of the aorta and iliac arteries,Duclaux, Gallaire & Clanet (J. Fluid Mech., 2010, thisissue, vol. 664, pp. 5–32) propose a scaling argument for thetransition between homogeneous and inhomogeneous deformation of an elastictubular membrane that offers a plausible explanation for the observedlocalization of the AAAs. While neglecting long-term tissue remodelling andother important biological processes, the fluid mechanics model of Duclauxet al. (2010) appears to be consistent with some knownassociated risk factors.

Information

Type
Focus on Fluids
Copyright
Copyright © Cambridge University Press 2010

References

Caro, C. G., Fitzgerald, J. M. & Schroter, R. C. 1971 Atheroma and arterial wall shear – observation, correlation and proposal of a shear dependent mass transfer mechanism for altherogenesis. Proc. R. Soc. Lond. Ser. B: Biol. Sci. 177 (1046), 109159.Google Scholar
Davies, P. F., Dewey, C. F., Bussolari, S. R., Gordon, E. J. & Gimbrone, M. A. 1984 Influence of hemodynamic forces on vascular endothelial function – in vitro studies of shear-stress and pinocytosis in bovine aortic-cells. J. Clin. Invest. 73 (4), 11211129.CrossRefGoogle ScholarPubMed
Driss, A. B., Benessiano, J., Poitevin, P., Levy, B. I. & Michel, J.-B. 1997 Arterial expansive remodeling induced by high flow rates. Am. J. Physiol. 272 (2 Part 2), H851H858.Google Scholar
Duclaux, V., Gallaire, F. & Clanet, C. 2010 A fluid mechanical view on abdominal aortic aneurysms. J. Fluid Mech. 664, 532.CrossRefGoogle Scholar
Fung, Y. C. 1993 Biomechanics: Mechanical Properties of Living Tissues, 2nd edn. pp. xviii + 568 pp. Springer-Verlag.Google Scholar
Fung, Y. C. 1997 Biomechanics: Circulation, 2nd edn. pp. xvii + 571 pp. Springer-Verlag.CrossRefGoogle Scholar
Ku, D. N. 1997 Blood flow in arteries. Annu. Rev. Fluid Mech. 29, 399434.CrossRefGoogle Scholar
Lasheras, J. C. 2007 The biomechanics of arterial aneurysms. Annu. Rev. Fluid Mech. 39, 293319.CrossRefGoogle Scholar
Nichols, W. W. & O'Rourke, M. F. 1990 Mcdonald's Blood Flow in Arteries: Theoretic, Experimental and Clinical Principles. Hodder Arnold Publication.Google Scholar
Salsac, A. V., Sparks, S. R., Chomaz, J. M. & Lasheras, J. C. 2006 Evolution of the wall shear stresses during the progressive enlargement of symmetric abdominal aortic aneurysms. J. Fluid Mech. 560, 1951.CrossRefGoogle Scholar
Taylor, C. A. & Draney, M. T. 2004 Experimental and computational methods in cardiovascular fluid mechanics. Annu. Rev. Fluid Mech. 36, 197231.CrossRefGoogle Scholar